| NPI | 1649563149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MI 5202005723) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 1766-027) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |